Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA.
South Carolina SmartState Center for Healthcare Quality, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA.
AIDS Behav. 2023 Aug;27(8):2642-2648. doi: 10.1007/s10461-023-03989-2. Epub 2023 Jan 31.
HIV continues to be a public health issue for older adults. Previous studies have examined predictors of quality of life (QoL) among people living with HIV (PLWH), but the majority have been in international settings and have not focused on older adults living with HIV (OALH). The aim of this study was to examine the associations between psychosocial protective and risk factors (resilience, internalized HIV-related stigma, and depression), and overall and domains (physical, psychological, independence, social, environmental, and spiritual) of QoL among OALH. Data were obtained from 156 OALH living in South Carolina. Resilience was positively associated with all QoL domains except the spiritual domain. Internalized HIV-related stigma was associated with all QoL domains except the psychological and environmental domains. Depression was associated with the overall QoL measure and all domains. Interventions aimed at increasing resilience, attenuating internalized HIV-related stigma and depressive symptoms may be warranted for OALH, which may improve overall and varying domains of QoL.
艾滋病毒仍然是老年人的公共卫生问题。以前的研究已经研究了艾滋病毒感染者（PLWH）生活质量（QoL）的预测因素，但大多数研究都在国际范围内进行，并且没有关注艾滋病毒感染者中的老年人（OALH）。本研究的目的是研究心理社会保护和风险因素（韧性、内化的与 HIV 相关的耻辱感和抑郁）与 OALH 的整体和各个领域（身体、心理、独立、社会、环境和精神）的 QoL 之间的关联。数据来自南卡罗来纳州的 156 名 OALH。韧性与除精神领域以外的所有 QoL 领域呈正相关。内化的与 HIV 相关的耻辱感与除心理和环境领域以外的所有 QoL 领域有关。抑郁与整体 QoL 衡量标准和所有领域有关。为 OALH 开展旨在增强韧性、减轻内化的与 HIV 相关的耻辱感和抑郁症状的干预措施可能是必要的，这可能会改善整体和不同领域的 QoL。
